ORIGINAL FOR RECIPIENT/DUPLICATE FOR TRANSPORTER/TRIPLICATE FOR SUPPLIER Job Card Retail - Tax Invoice Customer Name & Address : ID:02-31 Invoice No. : 71/BI/20000270 Date : 03/10/2020 18:09:31 Bajaj Allianz General Insurance Co. Ltd, 4th Floor,North East Plaza, Erramanzil Circle, Beside BMW Job Card No.: JC20002949 Job Card Date: 01/10/2020 Showroom, Reg.No. : TS22D6636 Mileage : 42128 HYDERABAD Pin:500082 SA Name : BASHA SA SA(M) : 9133386224 State & Code :36-TELANGANA Model : MARUTI ERTIGA VDI EW Type : III Mobile : Chassis No.: 167751 Last Service : 32586 (18-08-20) Loyalty Card : 33052360410 Fuel Trim : Next Service Due : PMS 30 Service type: BODY REPAIR Cust GSTIN/UIN : 36AABCB5730G1ZY PAN : AABCB5730G Place of Supply: TELANGANA Ins.Comp. : BAJAJ Surveyor Name : Srl. Part Number Description Batch HSN/SAC Tax Qty. Rate Taxable Tax Paid Labour Amount Amount Charges Parts Demanded Repairs-Others/Suggested Jobs 1 09409M07L01 CLIP AA 8708 28% 20.000 2.34 46.80 0.00 2 71711M72R00-5PK BUMPER,FRONT AC 8708 28% 1.000 1957.03 1957.03 0.00 3 71761M73R00-5PK BEZEL,FRONT FOG LAMP,L AB 8708 28% 1.000 85.93 85.93 0.00 Labour Demanded Repairs-Others/Suggested Jobs 1 ZZ07H HYGIENE CHARGE 998729 200.00 2 ZA64L0 OUT SIDE LABOUR 998729 250.00 3 ZF27P0 FRONT BUMPER PAINTING 998729 4,315.00 Sub Total Amount 2,089.76 0.00 4,765.00 CGST @ 14% 292.56 SGST @ 14% 292.56 CGST @ 9% 428.85 SGST @ 9% 428.85 For VARUN MOTORS PVT LTD Tax Collection at Source @ 0.075% : 2.00 Authorised Signatory Sub Total Amount 2,676.88 0.00 5,622.70 Dealer GSTIN :36AABCV2471Q1ZT Net Bill Amount (Rounded) 8,300.00 Rupees Eight Thousand Three Hundred Only * I acknowledge that the jobs/repairs/service carried out in my vehicle and the respective cost estimates were explained to me. I have received my vehicle after completion of all repairs being carried out to my satisfaction and I confirm that my vehicle is in good condition. I further authorize this workshop to contact me by call or sms to Customer Signature Mobile No.: inform me with any other information in relation to my vehicle. Gate Pass GP No. : GP20002867 Date : 03-0CT-20 18:10:06 Job Card No. Bill.No. Bill Date Amount Cust. Name : Bajaj Allianz General Insurance Co. L Model : ERTIGA DIESEL 1.5L JC20002949 BR/20002930 03-OCT-20 0.00 Tech.Name :MADHIREDDY PRADEEP Reg.No.: TS22D6636 JC20002949 BI/20000270 03-0CT-20 8,300.00 Customer Signature Accountant Signature JC20002949 ---PAGE END---